Field | Details |
---|---|
Name | |
Address | |
Phone Number | |
Email Address |
Creditor | Original Debt | Current Balance | Interest Rate | Proposed Payment |
---|---|---|---|---|
Creditor 1 | $5,000 | $4,500 | 18% | $125 |
Total | $5,000 | $4,500 | $125 |
Details | Amount |
---|---|
Total Debt | |
Total Monthly Payment | |
Proposed Term | |
Estimated Interest Savings |
Creditor | Negotiated Interest Rate | Negotiated Payment | Additional Notes |
---|---|---|---|
Creditor 1 | 12% | $125 | Reduced interest rate, extended payment period. |
Detail | Information |
---|---|
Total Monthly Payment | $490 |
Payment Method | Payments should be made to the debt management agency or as directed by the debt management plan coordinator. |
Detail | Information |
---|---|
Agency Name | [Your Company Name] |
Phone Number | [Your Company Number] |
Email Address | [Your Company Email] |
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